Multidisciplinary intervention in obese adolescents: predictors of dropout

Objective To identify biological and psychosocial factors associated with dropout in a multidisciplinary behavioral intervention in obese adolescents.Methods A total of 183 adolescents (15.4±1.6 years), pubertal (Tanner stage 3 or 4) and obese (34.7±4.0kg/m2), were enrolled in a 12-week behavioral intervention, which included clinical consultations (monthly), nutritional and psychological counseling (once a week), and supervised aerobic training (three times/week). The studied variables were weight, height, body mass index, body composition (skinfold), cardiorespiratory fitness (direct gas analysis), blood lipids and self-reported symptoms of eating disorders (bulimia, anorexia and binge eating), anxiety, depression, body image dissatisfaction and quality of life. Statistical analysis included binary logistic regression and independent t-tests.Results Of the adolescents, 73.7% adhered to the program. The greatest chance for dropout was observed among adolescents older than 15 years (odds ratio of 0.40; 95%CI: 0.15-0.98), with more anorexia symptoms (odds ratio of 0.35; 95%CI: 0.14-0.86) and hypercholesterolemia (odds ratio of 0.40; 95%CI: 0.16-0.91) at baseline.Conclusion Older adolescents, with more symptoms of eating disorders and total cholesterol have less chance to adhere to multidisciplinary treatments.

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Main Authors: Fidelix,Yara Lucy, Farias Júnior,José Cazuza de, Lofrano-Prado,Mara Cristina, Guerra,Ricardo Luís Fernandes, Cardel,Michelle, Prado,Wagner Luiz do
Format: Digital revista
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2015
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000300388
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spelling oai:scielo:S1679-450820150003003882015-10-13Multidisciplinary intervention in obese adolescents: predictors of dropoutFidelix,Yara LucyFarias Júnior,José Cazuza deLofrano-Prado,Mara CristinaGuerra,Ricardo Luís FernandesCardel,MichellePrado,Wagner Luiz do Patient dropouts Adiposity Lipids Quality of life Eating disorders Adolescent Objective To identify biological and psychosocial factors associated with dropout in a multidisciplinary behavioral intervention in obese adolescents.Methods A total of 183 adolescents (15.4±1.6 years), pubertal (Tanner stage 3 or 4) and obese (34.7±4.0kg/m2), were enrolled in a 12-week behavioral intervention, which included clinical consultations (monthly), nutritional and psychological counseling (once a week), and supervised aerobic training (three times/week). The studied variables were weight, height, body mass index, body composition (skinfold), cardiorespiratory fitness (direct gas analysis), blood lipids and self-reported symptoms of eating disorders (bulimia, anorexia and binge eating), anxiety, depression, body image dissatisfaction and quality of life. Statistical analysis included binary logistic regression and independent t-tests.Results Of the adolescents, 73.7% adhered to the program. The greatest chance for dropout was observed among adolescents older than 15 years (odds ratio of 0.40; 95%CI: 0.15-0.98), with more anorexia symptoms (odds ratio of 0.35; 95%CI: 0.14-0.86) and hypercholesterolemia (odds ratio of 0.40; 95%CI: 0.16-0.91) at baseline.Conclusion Older adolescents, with more symptoms of eating disorders and total cholesterol have less chance to adhere to multidisciplinary treatments.info:eu-repo/semantics/openAccessInstituto Israelita de Ensino e Pesquisa Albert Einsteineinstein (São Paulo) v.13 n.3 20152015-09-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000300388en10.1590/S1679-45082015AO3339
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libraryname SciELO
language English
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author Fidelix,Yara Lucy
Farias Júnior,José Cazuza de
Lofrano-Prado,Mara Cristina
Guerra,Ricardo Luís Fernandes
Cardel,Michelle
Prado,Wagner Luiz do
spellingShingle Fidelix,Yara Lucy
Farias Júnior,José Cazuza de
Lofrano-Prado,Mara Cristina
Guerra,Ricardo Luís Fernandes
Cardel,Michelle
Prado,Wagner Luiz do
Multidisciplinary intervention in obese adolescents: predictors of dropout
author_facet Fidelix,Yara Lucy
Farias Júnior,José Cazuza de
Lofrano-Prado,Mara Cristina
Guerra,Ricardo Luís Fernandes
Cardel,Michelle
Prado,Wagner Luiz do
author_sort Fidelix,Yara Lucy
title Multidisciplinary intervention in obese adolescents: predictors of dropout
title_short Multidisciplinary intervention in obese adolescents: predictors of dropout
title_full Multidisciplinary intervention in obese adolescents: predictors of dropout
title_fullStr Multidisciplinary intervention in obese adolescents: predictors of dropout
title_full_unstemmed Multidisciplinary intervention in obese adolescents: predictors of dropout
title_sort multidisciplinary intervention in obese adolescents: predictors of dropout
description Objective To identify biological and psychosocial factors associated with dropout in a multidisciplinary behavioral intervention in obese adolescents.Methods A total of 183 adolescents (15.4±1.6 years), pubertal (Tanner stage 3 or 4) and obese (34.7±4.0kg/m2), were enrolled in a 12-week behavioral intervention, which included clinical consultations (monthly), nutritional and psychological counseling (once a week), and supervised aerobic training (three times/week). The studied variables were weight, height, body mass index, body composition (skinfold), cardiorespiratory fitness (direct gas analysis), blood lipids and self-reported symptoms of eating disorders (bulimia, anorexia and binge eating), anxiety, depression, body image dissatisfaction and quality of life. Statistical analysis included binary logistic regression and independent t-tests.Results Of the adolescents, 73.7% adhered to the program. The greatest chance for dropout was observed among adolescents older than 15 years (odds ratio of 0.40; 95%CI: 0.15-0.98), with more anorexia symptoms (odds ratio of 0.35; 95%CI: 0.14-0.86) and hypercholesterolemia (odds ratio of 0.40; 95%CI: 0.16-0.91) at baseline.Conclusion Older adolescents, with more symptoms of eating disorders and total cholesterol have less chance to adhere to multidisciplinary treatments.
publisher Instituto Israelita de Ensino e Pesquisa Albert Einstein
publishDate 2015
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000300388
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